HomeMy WebLinkAbout10197787 - Permit (2)Permit #: 10197787
Pin #: -- 9786.2
)
ry
Project Address: 426 N Cooper St
Assessor's Parcel 099-233-01 Lot: NA
Bldg: Address Range Suite Range:
Zoning: RlBlock NA Historic: No
Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area O Patio:
Job Type: Reroof Constr Type: V B 2nd FL Area O T.l.Area:
Nature of Work: Reroof Code: CBC 2016 Other Areas: o yards Req,d o@o
Existing Bldg. & user sfd wdet garage Flood zone: A'o6o232o252J carage Area: varuation: $5,ooo.oo
Proposed Use: # of Stories: , ,orr, O
Description of Work: T/O existing roof and install new comp shingle to SFD with detached garage. Replace sheathing/plywood as needed. Hand out
grven.Eotchi:46097 - I /21/2Ol$ I0r NGAI{(:]A
off ice: CTYH Trons+: I 1 r'f '.1
L-?tl. o-f!! lftt 0219';Planning Conditions:
Owner:
Address
Phone:
Tenant
Rcpt+:023?0666 - ?/25/2018 9t3{ Al1
Tronsoct iofl Totql t511, ii1ASHLEY HO
426 N COOPER ST
Santa Ana, CA 927032410
(714) 418-6604
Contractor; A B C Construction
Address: 8342 Garden Grove Blvd #8
Garden Grove, CA 92843
Phone: (714) 548-8289
State Lic #: 862'162
Lic Type: B
Bus. Lic #: 327855
Workers' Compensation lnsurance:
Carrier: Exempt
Policy #:
Expires:
Engineer
Address:
Phone:
I icense #
Architect /
Desiq ner:
Address.
Phone.
License #:
$??. 0s
t375. i4
$ 1 .1:r0
$541 .31
A B C Construct ion
Planning Approval By: Gomez, Pedro
Plan Checked By:
Permit lssued By: Zuniga, Allissa
NPDES insp. Req'd: No
PWA lnsp Req'd: No
Planning lnsp. Req'd: No
Date: 09/2512018 Misc. Receipt
Date: Misc. Receipt
Date: 09/25/2018 Misc. Receipt
Subject to Field:
No
No Account#
07776002 5160I Permil Fee
07776002 57672 Bldg. Slds. Revolving
07776002 57600 Gene|al Plan Update
07776002 51601 lssuance
$320.50
$'1.00
$22.08
$55.04
Fire lnsp. Req'd:
Police lnsp. Req'd Total
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every pemil issued shall become invalid unless the work on fhe slte authorized by
such pemit is comnenced within 180 days aftet its issuance ot il tho wo* authorized
on the site by such pemit is suspehded otabandoned fot a peiod of180 days aftet
lhe time the work ls comfienced
$398.62
$0.00
$398.62
lnspector MtD#. 2018-146341
0'1 1 '16002 51600
01 1 16002 51601
01 1 16002 51612
$22.08
$375.54
$1 .00
Fee Totat
Paid to Date
Balance Due:
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building
Permit Counter: (714\ 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Unit
Tract: NA
Generol Plon updste Fee
01116002- 51600000-
Bui ld ins
01116002- 51601000-
Blds Stds Revolv ins
01116002- 51612000-
ICL ChecL 0909
BUILDING- INSPECTOH RECORD
SITE-WORK DATE ID/SIG.COMMENTS oWNER BUIIJ)!]R DELCARATION
I hcrcb, aliir undcr !.n0lry of pcrlury rhar I am cxcmfr Imrn rhc Conlraclois l-ten\c lj*,orlhc fdbwin8 rNr (SL7r):ll5
lJurinc$ ard Profcssn,n Cndc,r An, Cily or Counly *hi.h requircs i pcmir ro condtucr, rhcr, inltrUvc. dcnrl,sh or rcp{tr'!try
\rrucrurc- ri.r r{i ih issuanc.. also r.quircs rhc applicor fttr \uch Frfrir b li}c n silncd dmcmtrr thlt hc or shc n liccnsd pu Mnt
ro lhc povhions olllE Conrractais t-icc.*d ljw (Chlprcr 9. Conrmcncin8 *iih Scdn TUXI of Division 3 oI lhc lru\'nc$ ani
Pn,fcssn)hs C.dc) .r rhli hc or sh. is cxcmpr rh.rcfro nnd rhc brsn t rh. rllcgcd cxcnDrion Any vn,Urionofsccrn,nT0.ll5 hy rny
aptlmnl lnr dpciinil nrblcdsrhc afflicont to rcivilpcnrltyoln.r mordhin five hun.lrcdd.llm ($50o)
_1. n\ osner of rhc pRrFny. or m,.oDlorces wirh ssg$ rhct $k conilcn\aln . will do llf work u lhc(Mturchtrol
inrcndcd or offcrcd Lr slc ( Se 7044, ausincss rnd Ptufc*i.ns Colc: l hc Contmcroi r Li.cnsc Lxw docs nor lpply t, ai oukr ot
lhc pn'Irny who huilils or inDrov$ rllcmn. rxl wtr &f,s \u.h rorl hi'nrcllor hc^clror ihn,uSh hi! oi hcr own.mploycc\.
[ovnbd rh.t srch im!rctsEtrrs aE tror mrcdcd or offcrcd for {h ll nowcvs. rhc boikiins o' itr{mw,m issldwirhin'ftFr
orronlphrio.. rhc Owrr BuiUcr *ill hav. rh. budcn ufrbvine rh,r tr o. shc dil mt toitl or inpr'lc fic pmpcny lor rh. llrFl?of
I.$o*nfiolrhcptupcdy.rn.klusiv.ly.ontncrina*irhli..n\c'lcont.cttrsrolon{ructrh.p!()icr(Sall}rl.Bd\inr\\
and PNlc$k'n Codc: The Conrrlctois Liccnsc Lrs d@\ nor lprly ro anowncr.rpi{rpcdt qh. buildr or improvcs rhcrco..
nnd who coftach f.r ruch !ft,l.ck wirh rC.Drr.rtr(t) li.c.\cd puNa ro rhc Conrr0.rnfs l,iccns lr*)
I rNcxcn|, u ldcr sc.r
t rr. ()wr:
DECI,AIAIIO!
I hftby aratrm undcr pcMlty or p.riury orc or$. followin8 d(larlrbns:
I hovc dJld will minrain r Ccniiicrt.orCon$nl ro sclf.lnsur. for *ork.tr ompensotion. !s pmviledforbyS.crhn l7morrh.
Lnlrtr C.d.. aor ih. p.rformnc. of rhc ert for *hkh rhc ldmir is hsucd.
-l
navc atrd will roinhin workcs' comoensarion insuronce. !s rcqutcd hy Sftl bn :1700 or lhc kbo! Codc, lor lh. FrfonMncc of
rhc work tur which rhisErn is issucd My nln|EtrrI(ioniNtrrsncccrricrrtolInlli.y unrh.rdc:
l..nilyrhrr inrhc t^-rlnnrtrm,n rhc *1rl lar $hrh rhi\ ncnn'r tr ^\ucd.l nrlltrfr (.r." *.- t-,,*-",
v, as b b.om subjccl lo Ihc workcn comp.nsation laws ol Culilnni!, and aBm. rhar ifl \horld t .ont subi.tr ro IIE
*.rkc6'conrpcnsatiotrF)visionsofSccrionlT0OofrhcltrrEtrOic.l\lDll.lirnhwiih
r ,n.nDbrrr ro diminol Fn.lrics lndIYARNING: Failurc ro sc.urc s.tkol co,nNnsahotr ..r..ngc is unh ul.
to onc hundrc{l lhousrtrd dollars (SllD.u})), ir ndilil
Sc.ri 1076of r Ltrlu (i{.. irrcrc{ r altoncy s
DrtLttstl!!\
I hcEhyrlfirn undcr rculrlol plrjury rhar I $r lic.n{d undcr pr,!rsn, ol Ch.J)ld 9 (conrnEmiq *ih Sccrion 70ff)) ol Di\nn,n:l
L(6)-
CONSIf,!!:UONIEIDAGACENq
I hcrby ,itrn und.r lEn,lr, or pcrjury rhar lhcE n a .onsdcrbn hnding ascncy for rhc pcrfooEncc of rh. wrk for whi:h this [{ml n
i\s!.nlscc :1097. Civ C )
APIIICANI.DECLAEAIION
I tEEt y ltfim ondcr Fnnh y or perjury oft or rh. rulluwins d.cli In nsl
Dcmnilion PcirniIs-Asbc(os Norilicrrion Fcd€nl Rc3lluri.ns (Tirlc.r0. fd6)
Rcquncd t.rlcr or Noli,icllioo
l.cdifyrhar rh. fcdcnl rc.cularions rcBardiry 0\tr{o( rcnniv!l arc nol rtplicnhlc &, rhnlroiccr
_l ccniryrhar I hrvc rc rhh lppltrrionr darc rhar rhc xh,ru infttriuridr is
ordiDinccs md Srlic ttrws rcUrins k,huildin8
;::::::,Tz
r,.,',r.*,r l,*,'',,,.,1' q",,.
,": l(ar/rs
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVlnsulation
Roof Sheathing
Shear Wall
Framino
lnsulalion/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar lr
Handicap Req.A
Deputy Final Report
Engineer Final Report
Flood Zone Certil t
-\.)//r sa9 .a4cv
Certifi cate ol Occupancy
Notes, Remarks, Etp
7
FINAL
Co,lc. rd 'nl licctr\. \ n lulllnr.c xn'lrlfcd
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